Parathyroidectomy for refractory secondary hyperparathyroidism with severe bone disease / Journal of the ASEAN Federation of Endocrine Societies
Journal of the ASEAN Federation of Endocrine Societies
; : 105-108, 2012.
Article
in En
| WPRIM
| ID: wpr-632992
Responsible library:
WPRO
ABSTRACT
Advances in the medical management of secondary hyperparathyroidism due to renal failure have decreased the use of parathyroidectomy as a treatment option. However, some patients with end-stage renal disease still progress to refractory hyperparathyroidism and debilitating bone disease, for which parathyroidectomy may be warranted. We describe a case of a 35-year-old female on chronic hemodialysis who presented with bone pains, deformities, decrease in height and recurrent pathologic fractures. She had markedly elevated parathyroid hormone (PTH), vitamin D deficiency, persistent hyperphosphatemia and hypocalcemia despite therapeutic measures. Subtotal parathyroidectomy was done with eventual improvement of biochemical abnormalities, resolution of bone pains and healing of fractures.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Parathyroid Hormone
/
Vitamin D Deficiency
/
Bone Diseases
/
Parathyroidectomy
/
Renal Dialysis
/
Renal Insufficiency
/
Hyperphosphatemia
/
Fractures, Spontaneous
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Hyperparathyroidism, Secondary
/
Hypocalcemia
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Journal of the ASEAN Federation of Endocrine Societies
Year:
2012
Type:
Article